Erin L Rose, ATC
Specialist/Technologist, Athletic Trainer in Pullman, WA. Individual provider (NPI-1).
NPI number1265049902
StatusActive
Last updated in NPPESSep 27, 2020
Details
- NPI
- 1265049902
- Entity type
- Individual (NPI-1)
- Name
- Erin L Rose
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2020
- Certification date
- Sep 27, 2020
- Last updated
- Sep 27, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | A160976844 | WA | Yes |
Other names
- Erin L Godde (Former Name)
Practice location
510 Nw Larry StPullman, WA 99163-3584
Phone 509-332-1551
Mailing address
512 Britton LnMoscow, ID 83843-8801
Phone 209-418-9543
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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